Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD00046627 | WA |
Y | 2084N0402X | Child Neurologist | MD00046627 | WA |
NPI | 1164591673 |
---|---|
Provider Name | Lauren L Plawner |
First Address | Bothell, WA 98011-8200 |
Second Address | Bothell, WA 98011-8200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 03/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8460883 | (05) | WA |